I asked Kaiser for the list of contracted post-acute facilities they use. I was then informed that if I did not choose one of the three facilities they have and appealed the decision, the cost of her stay at Kaiser during the appeal would be on her to pay. Does this sound accurate?
I chose the place where my mother did rehab and she received excellent care from the staff. There was one incident. No place is going to be perfect. They handled the situation properly so I was satisfied with the overall care that my mom received.
If there are only these three places that are available to you. I am not sure if you can do anything about it.
A family friend who was run over by a truck had to go to a facility 2 hours away from his wife and home because of the extensive damage to his legs. This is in FL, "Heaven's Waiting Room"... so, lots of demand plus a shortage of medical workers plus he needed a certain type of care that may not have been available locally.
If you're willing to travel farther you may have more options? Or, does she need a special type of care?
If your Aunt can afford an ALF or MC facility then you can assist in choosing one to your liking. However, if this is insurance covered in any way, say a rehab or SNF, then Kaiser is in charge of choosing what facilities they use in this area.
Hospitalization for someone not requiring acute care hospitalization will not fly; an appeal to have her stay in hospital will not work. Kaiser system has excellent Social Workers. I would contact and ask for social worker involved here IF you are POA for your loved one.
Unless you're brand new to KP, this is how they operate and always have. You use KP facilities according to KP rules. I'd pick one of the 3 facilities offered and know that KP isn't likely to send your loved one somewhere where they won't get PT and OT.....because they'll wind up BACK in the hospital with KP footing another bill. Their goal is to get the patient cured or rehabbed properly so they're LESS of a financial burden to KP.